Individual provider Active NPI

Herbert Jay Wisnicki, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1407838451
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
150650 Issued in NY
Practice address
32 Union SQ E FL 7
New York, NY 10003-3242
Phone
(212) 844-2020
NPI assigned
Nov 16, 2005
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 150650 NY
Ophthalmology Physician 207W00000X 150650 NY Primary

Addresses

Primary practice location

32 Union SQ E FL 7
New York, NY 10003-3242

Mailing address

235 Park Ave S
2ND Floor
New York, NY 10003-1405
Phone (212) 844-2020

Other identifiers 1

IdentifierTypeStateIssuer
00970627MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000805 NY Practitioner - OphthalmologyPractitioner - Optometry 5395724181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Square Eye Center LLCGroup PAC ID 9133451438, 17 clinicians

Practice addresses (Care Compare)

1815 Madison Ave
New York, NY 10035-3826
Phone (212) 844-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.99 of 100Reported as group
Quality
83.72
Promoting interoperability
88
Improvement activities
40
Cost
96.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
150650NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Square Eye Center LLC Optometrist CurrentSince Aug 13, 2019 Accepting new patients
Bimc Ophthalmology Dept Ophthalmology PastSince Feb 1, 1995 Accepting new patients

Locations

1815 Madison Ave
New York, NY 10035

235 Park Ave S
Fl 2
New York, NY 10003
Phone (212) 614-0039

32 Union Sq E
Fl 7
New York, NY 10003
Phone (212) 529-5100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: herbert.wisnicki.1@14049.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1407838451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PARK AVE S",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031405",
            "telephone_number": "212-844-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033242",
            "telephone_number": "212-844-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNICKI",
        "first_name": "HERBERT",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "150650",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "150650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00970627",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.